Transition Test 2 questions and
answers graded A+
1. The nurse is caring for the following clients on a medical unit. Which client should the nurse
assess first? - correct answer ✔✔ the client diagnosed with benign prostatic hypertrophy who
has blood oozing from the intravenous site
The nurse is administering medications to clients on a surgical unit. Which medication should
the nurse administer first? - correct answer ✔✔ Morphine IV infusion to the client who is 8
hours postoperative and is reporting pain, rating it as 7
The RN staff nurse and unlicensed assistive personnel (UAP) are caring for clients on a surgical
unit. Which action by the UAP warrants immediate intervention? - correct answer ✔✔ The UAP
assists a client who received an IV narcotic analgesic 30 min ago to ambulate in the hall
The RN charge nurse is making shift assignments to the surgical staff, which consists of two RNs,
two LPNs, and two UAPs. Which assignment would be most appropriate for the RN charge nurse
to make? - correct answer ✔✔ Request the LPN to complete the admission for a new client
1. The charge nurse is making assignments in the day surgery center. Which client should be
assigned to the most experienced nurse? - correct answer ✔✔ the 24 year old who had a
circumcision and is being prepared for discharge
1. The RN primary nurse is caring for clients on the renal unit. Which task is most appropriate
for the RN to delegate to the UAP? - correct answer ✔✔ instruct the UAP to calculate the
clients' urinary intake and output
,1. The nurse is caring for clients on a renal unit and making assignments for the day. Which
client should the nurse assess first? - correct answer ✔✔ the client diagnosed with
nephrolithiasis who has hematuria and is complaining of pain rating it as a 9
1. What action by the LPN requires intervention by the critical care RN charge nurse? - correct
answer ✔✔ the LPN has the trough drawn after hanging the aminoglycoside
1. The UAP reports to the RN primary nurse that the client's urine output has bright red blood.
Which intervention should the RN implement first? - correct answer ✔✔ assess the client's
urine specimen and complete a renal assessment
1. The RN charge nurse is making client assignments. Which client should the charge nurse
assign to the graduate nurse who has just finished orientation? - correct answer ✔✔ the client
with a cystectomy who had a creation of an ileal conduit
The nurse is caring for clients on a surgical unit. Which client should the nurse assess first after
shift report? - correct answer ✔✔ the client diagnosed with acute pyelonephritis who has
nausea/vomiting and is dehydrated
1. Which nursing task should the RN staff nurse on the renal unit assign to the LPN? - correct
answer ✔✔ insert an indwelling urinary catheter before surgery
1. The nurse on a medical unit has just received the evening shift report. Which client should
the nurse assess first? - correct answer ✔✔ the client diagnosed with renal vein thrombosis
who has a heparin drip infusion and a PTT of 92
1. The nurse is preparing to administer medications. Which medication should the nurse
administer first? - correct answer ✔✔ acetaminophen due in 5 minutes
, 1. Which behavior warrants intervention by the clinical manager in the medical-surgical
outpatient clinic? - correct answer ✔✔ The UAP discussing a client's condition in the waiting
room
1. The charge nurse has received laboratory data for clients on the medical unit. Which client
would require intervention by the charge nurse? - correct answer ✔✔ the client receiving
phenytoin who has serum levels of 24 mcg/dL
1. The nurse is administering medications for clients on a neurological unit. Which medication
should the nurse administer first? - correct answer ✔✔ an anticholinesterase medication to a
client diagnosed with myasthenia gravis
1. The nurse has just received the shift report. Which client should the nurse assess first? -
correct answer ✔✔ the client diagnosed with a C-6 spinal cord injury who has autonomic
dysreflexia
1. The RN primary nurse and UAP are caring for a client diagnosed with right-sided paralysis.
Which action by the UAP requires the RN to intervene? - correct answer ✔✔ the UAP places her
hand under the client's right axilla to help the client move up in bed
1. The charge nurse is making client assignments for a neurological medical floor. Which client
should be assigned to the most experienced nurse? - correct answer ✔✔ the elderly client who
is experiencing a stroke in evolution
1. The RN primary nurse and LPN are caring for a client diagnosed with a stroke. Which
intervention should the RN assign to the LPN? - correct answer ✔✔ administer the client's
anticoagulant subcutaneously
1. The RN staff nurse is caring for a client diagnosed with Alzheimer's disease. Which nursing
tasks can the RN staff nurse delegate to the UAP? Select all that apply. - correct answer ✔✔
perform the client's morning hygiene care, ambulate the client to the bathroom, obtain the
client's routine vital signs
answers graded A+
1. The nurse is caring for the following clients on a medical unit. Which client should the nurse
assess first? - correct answer ✔✔ the client diagnosed with benign prostatic hypertrophy who
has blood oozing from the intravenous site
The nurse is administering medications to clients on a surgical unit. Which medication should
the nurse administer first? - correct answer ✔✔ Morphine IV infusion to the client who is 8
hours postoperative and is reporting pain, rating it as 7
The RN staff nurse and unlicensed assistive personnel (UAP) are caring for clients on a surgical
unit. Which action by the UAP warrants immediate intervention? - correct answer ✔✔ The UAP
assists a client who received an IV narcotic analgesic 30 min ago to ambulate in the hall
The RN charge nurse is making shift assignments to the surgical staff, which consists of two RNs,
two LPNs, and two UAPs. Which assignment would be most appropriate for the RN charge nurse
to make? - correct answer ✔✔ Request the LPN to complete the admission for a new client
1. The charge nurse is making assignments in the day surgery center. Which client should be
assigned to the most experienced nurse? - correct answer ✔✔ the 24 year old who had a
circumcision and is being prepared for discharge
1. The RN primary nurse is caring for clients on the renal unit. Which task is most appropriate
for the RN to delegate to the UAP? - correct answer ✔✔ instruct the UAP to calculate the
clients' urinary intake and output
,1. The nurse is caring for clients on a renal unit and making assignments for the day. Which
client should the nurse assess first? - correct answer ✔✔ the client diagnosed with
nephrolithiasis who has hematuria and is complaining of pain rating it as a 9
1. What action by the LPN requires intervention by the critical care RN charge nurse? - correct
answer ✔✔ the LPN has the trough drawn after hanging the aminoglycoside
1. The UAP reports to the RN primary nurse that the client's urine output has bright red blood.
Which intervention should the RN implement first? - correct answer ✔✔ assess the client's
urine specimen and complete a renal assessment
1. The RN charge nurse is making client assignments. Which client should the charge nurse
assign to the graduate nurse who has just finished orientation? - correct answer ✔✔ the client
with a cystectomy who had a creation of an ileal conduit
The nurse is caring for clients on a surgical unit. Which client should the nurse assess first after
shift report? - correct answer ✔✔ the client diagnosed with acute pyelonephritis who has
nausea/vomiting and is dehydrated
1. Which nursing task should the RN staff nurse on the renal unit assign to the LPN? - correct
answer ✔✔ insert an indwelling urinary catheter before surgery
1. The nurse on a medical unit has just received the evening shift report. Which client should
the nurse assess first? - correct answer ✔✔ the client diagnosed with renal vein thrombosis
who has a heparin drip infusion and a PTT of 92
1. The nurse is preparing to administer medications. Which medication should the nurse
administer first? - correct answer ✔✔ acetaminophen due in 5 minutes
, 1. Which behavior warrants intervention by the clinical manager in the medical-surgical
outpatient clinic? - correct answer ✔✔ The UAP discussing a client's condition in the waiting
room
1. The charge nurse has received laboratory data for clients on the medical unit. Which client
would require intervention by the charge nurse? - correct answer ✔✔ the client receiving
phenytoin who has serum levels of 24 mcg/dL
1. The nurse is administering medications for clients on a neurological unit. Which medication
should the nurse administer first? - correct answer ✔✔ an anticholinesterase medication to a
client diagnosed with myasthenia gravis
1. The nurse has just received the shift report. Which client should the nurse assess first? -
correct answer ✔✔ the client diagnosed with a C-6 spinal cord injury who has autonomic
dysreflexia
1. The RN primary nurse and UAP are caring for a client diagnosed with right-sided paralysis.
Which action by the UAP requires the RN to intervene? - correct answer ✔✔ the UAP places her
hand under the client's right axilla to help the client move up in bed
1. The charge nurse is making client assignments for a neurological medical floor. Which client
should be assigned to the most experienced nurse? - correct answer ✔✔ the elderly client who
is experiencing a stroke in evolution
1. The RN primary nurse and LPN are caring for a client diagnosed with a stroke. Which
intervention should the RN assign to the LPN? - correct answer ✔✔ administer the client's
anticoagulant subcutaneously
1. The RN staff nurse is caring for a client diagnosed with Alzheimer's disease. Which nursing
tasks can the RN staff nurse delegate to the UAP? Select all that apply. - correct answer ✔✔
perform the client's morning hygiene care, ambulate the client to the bathroom, obtain the
client's routine vital signs
